Healthcare Provider Details

I. General information

NPI: 1215545280
Provider Name (Legal Business Name): FLORENCE CRISTINA BROOKS PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/16/2020
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

807 STUBBS AVE STE C
MONROE LA
71201-5577
US

IV. Provider business mailing address

210 ROCHELLE AVE
MONROE LA
71201-4632
US

V. Phone/Fax

Practice location:
  • Phone: 318-667-6036
  • Fax:
Mailing address:
  • Phone: 318-355-1813
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number214021
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number0024183922
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: